Tuesday, June 13, 2017

Male To Female Transsexual Surgery Options

There are a number of possible surgical procedures that male to female transsexual women seek out. Below is a simple overview. Each comes with their own risks so please talk to you doctor and therapist to determine if any are right for you.


Male To Female Transsexual Surgery Options For male to female transsexuals this is the surgery that is usually associated with the term "sex change" (A more correct term would be gender reassignment or sexual reassignment surgery).

The goal of this surgery is the creation of a fully functional vagina and clitoris using existing tissue (and possible skin graphs). During this surgery the testicles are removed and the penile skin is folded inward to create the vagina. The scrotal skin is used in the creating of the labia and the glands of the penis is used to create the clitoris. It is the goal and usual outcome that feeling and sexual arousal are maintained for individuals after undergoing this surgery.

Many surgeons require some amount of preoperative hair removal from the penile shaft, scrotum or both. This prevents hair from growing inside the newly constructed vagina. Also, after the surgery is completed the patient will have to dilate their vagina to prevent shrinkage and or collapse.

There are fairly strict rules on who is eligible for this surgery and what requirements they must fulfill to meet this eligibility. For the most part the patient must be of legal age, they have to have been on hormones for a year (if medically able to), they must have lived at least 12 months in a female gender role, they must have a have a therapist, they must understand the cost and ramifications as well as understand their options and they must know of more then one surgeon who can preform the surgery. While controversial the purpose of these restrictions are said to protect the patient (I do not agree 100% but this isn't an opinion piece).

For a better description of these requirements see the World Professional Association for Transgender Health's Standards of Care for Gender Identity Disorders

Possible Complications
The following is a non-exhaustive list of possible complications to the previous surgery. Note that no surgery is without risk.

For a vaginplasty this risks include possible irreparable damage to surrounding organs (prostate, bladder, etc), nerve damage and even death. The most common complications with a vaginaplasty according to my research are infection, bleeding, and scarring.

One major complication that must be noted is called a vaginal-rectal fistula. This is when a whole opens between the vagina and the rectum. While usually correctable this is a very serious complication that results in the person having to have a colostomy while the wound heals. Also because dilation may not be possible the newly constructed vagina may collapse resulting in the patient needing to undergo the whole gender reassignment surgery again.


This is usually step two in the gender reassignment surgery process. In this procedure the labia is created or reshaped. This is usually an outpatient procedure done under local anesthesia. Side effects include infection, bleeding, decrease feeling and discomfort.


This surgery involves the removal of the testicles. It can be preformed as an outpatient procedure. Post surgery the patient will no longer produce male levels of testosterone. This may result in side effects that may include loss of bone mass, reduced libido, hot flashes, weight gain and loss of muscle mass; especially if the patient is not taking estrogen.

Breast Augmentation

This is pretty much the same as breast implant surgery for cissexual women. The difference is this, it is recommended that the transsexual patient waits until breast development has stopped. The reason for this is that if the implants are inserted before breast development completes future development may move the implants around and sometime cause noticeable breast deformity.

Again, the standards of care sets requirements for breast augmentation in male to female transsexuals.

Other Procedures

Other surgeries include facial feminization (tracheal shaving, brow reduction, and jaw bone reduction), as well as liposuction. These surgeries are not without risk and are usually extremely painful. Like with any of the above procedures, careful consideration should be used when considering these options.


Female To Male Transsexual Surgery Options

There are a number of possible surgical procedures that female to male transsexual men seek out. Below is a simple overview. Each comes with their own risks so please talk to you doctor and therapist to determine if any are right for you.


Female To Male Transsexual Surgery Options In this procedure a combination of skin grafts, implants and urethral lengthening are used to create a penis. There are a few methods involving using skin from different areas but grafts are always required. There can be a number of complications including but not limited to infection, death of the grafted tissue, urethral fistula (a hole in the urethra), blog clots and scaring.

In regards to sexual function, erections are maintained by the insertion of either a rod (permanently or removable) or an inflatable pump.

I must be stated that the patient must be aware that there is great difficulty in preforming this surgery with truly outstanding cosmetic results. They must discuss this and all the risks before committing to surgery.


In this procedure involves creating a scrotum out of existing tissue from the labia majora. Prosthetic testis are sometimes inserted afterward.


This is the surgical removal of the uterus. It is often done along with a procedure called a Oophorectomy. This is the technical term for the removal of the ovaries. This is considered major surgery and comes with it all of the associated risks. This includes infection, blood clots, adhesions, hemorrhage, bowel obstruction, urinary tract damage and death. Also, Removal of the ovaries may increase the risk of heart disease and / or osteoporosis.


This is the surgical removal of the vagina.


This is probably the most common surgery sought out by trans men. It involves the surgical removal of the breasts. This is what is what people mean when they talk about Top Surgery for trans men.

Risks include but are not limited to infection, bleeding, numbness of the area where the breast used to be and scaring.

Monday, June 12, 2017

Breast Positioning When Chest Binding